Individual
NOHA M SHEHATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
28356 S WESTERN AVE, RANCHO PALOS VERDES, CA 90275-1434
(504) 232-8191
Mailing address
28356 S WESTERN AVE, RANCHO PALOS VERDES, CA 90275-1434
(310) 831-0841
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1588621-T
LA
152WC0802X
Corneal and Contact Management Optometrist
Primary
15185TLG
CA
152WC0802X
Corneal and Contact Management Optometrist
7612TG
TX
152WC0802X
Corneal and Contact Management Optometrist
OEG002584
PA
Other
Enumeration date
07/21/2010
Last updated
11/28/2016
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